Stim Diagnostic, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

STIM DIAGNOSTIC, INC.

Practice address

18401 Burbank Blvd
Suite # 123
Tarzana, CA 91356-2822

Phone

(818) 774-1512

Fax

(818) 774-1311

NPI assigned

Jun 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Aleksandr Krasilshchik

Title

President

Phone

(818) 774-1512

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346287745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD",
            "address_2": "SUITE # 123",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562822",
            "telephone_number": "818-774-1512",
            "fax_number": "818-774-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18401 BURBANK BLVD",
            "address_2": "SUITE # 123",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562822",
            "telephone_number": "818-774-1512",
            "fax_number": "818-774-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STIM DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRASILSHCHIK",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-774-1512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven P Stiles MD a Medical Corporation
• Heather Ann Stewart Jorden, M.S.
• Carolina Stewart
• Steven P. Stiles, M.D.
• Olivia Stillerman
• John Stolpe
• Theodore D Stomel, DMD
• Gerald Johnson Strange
• Joshua Straschewski, CADCIII
• Aaron J Strehlow, FNP

• Physiological Laboratory in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.